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CC BY-NC-ND 4.0 · Endosc Int Open 2021; 09(02): E122-E129
DOI: 10.1055/a-1319-0742
Original article

Quality performance measures for small capsule endoscopy: Are the ESGE quality standards met?

Emanuele Rondonotti‡
 1   Unità Operativa Complessa di Gastroenterologia, Ospedale Valduce, Como, Italy
,
Cristiano Spada‡
 2   Unità Operativa di Endoscopia Digestiva, Università Cattolica, Rome, Italy
 3   Unità Operativa di Endoscopia Digestiva, Fondazione Poliambulanza, Brescia, Italy
,
Sergio Cadoni
 4   Unità Operativa di Endoscopia Digestiva, Centro Traumatologico Ortopedico, Iglesias, Italy
,
Renato Cannizzaro
 5   Struttura Operativa Complessa di Gastroenterologia Oncologica, Centro di Riferimento Oncologico di Aviano (CRO), Istituto Nazionale Tumori IRCCS, Aviano, Italy
,
Carlo Calabrese
 6   Unità Operativa Malattia Infiammatorie Croniche Intestinali, Dipartimento di Medicina e Chirurgia (DIMEC), Ospedale S. Orsola-Malpighi Università di Bologna, Bologna, Italy
,
Roberto de Franchis
 7   Università degli Studi di Milano, Milan, Italy
,
Luca Elli
 8   Unità Operativa Complessa di Gastroenterologia ed Endoscopia-Centro per la Prevenzione e Diagnosi della Malattia Celiaca, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
,
Carlo Maria Girelli
 9   Unità Di Gastroenterologia ed Endoscopia Digestiva, Ospedale di Busto Arsizio, Busto Arsizio, Italy
,
Cesare Hassan
10   Unità Operativa di Endoscopia Digestiva, Ospedale Nuovo Regina, Rome, Italy
,
Riccardo Marmo
11   Unità Operativa di Gastroenterologia, Ospedale Curto, Polla, Italy
,
Maria Elena Riccioni
12   Unità Operativa di Endoscopia Digestiva, IRCCS Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
,
Salvatore Oliva
13   Unità Operativa di Gastroenterologia e Epatologia Pediatrica, Università La Sapienza, Rome, Italy
,
Giuseppe Scarpulla
14   Unità Operativa di Gastroenterologia, Ospedale M. Raimondi, San Cataldo, Italy
,
Marco Soncini
15   Dipartimento di Medicina Interna, Ospedale Alessandro Manzoni, Lecco, Italy
,
Maurizio Vecchi
16   Dipartimento di Scienze Biomediche, Università degli Studi di Milan, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
,
Marco Pennazio
17   Divisione di Gastroenterologia U, Azienda Ospedaliero-Universitaria, Città della Salute e della Scienza, Torino, Italy
,
“RAVE Study Group”
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Abstract

Background and study aims The European Society of Gastrointestinal Endoscopy (ESGE) recently issued a quality performance measures document for small bowel capsule endoscopy (SBCE). The aim of this nationwide survey was to explore SBCE practice with ESGE quality measures as a benchmark.

Patients and methods A dedicated per-center semi-quantitative questionnaire based on ESGE performance measures for SBCE was created by a group of SBCE experts. One-hundred-eighty-one centers were invited to participate and were asked to calculate performance measures for SBCE performed in 2018. Data were compared with 10 ESGE quality standards for both key and minor performance measures.

Results Ninety-one centers (50.3 %) participated in the data collection. Overall in the last 5 years (2014–2018), 26,615 SBCEs were performed, 5917 of which were done in 2018. Eighty percent or more of the participating centers reached the minimum standard established by the ESGE Small Bowel Working Group (ESBWG) for four performance measures (indications for SBCE, complete small bowel evaluation, diagnostic yield and retention rate). Conversely, compliance with six minimum standards established by ESBWG concerning adequate bowel preparation, patient selection, timing of SBCE in overt bleeding, appropriate reporting, reading protocols and referral to device-assisted enteroscopy was met by only 15.5 %, 10.9 %, 31.1 %, 67.7 %, 53.4 %, and 32.2 % of centers, respectively.

Conclusions The present survey shows significant variability across SBCE centers; only four (4/10: 40 %) SBCE procedural minimum standards were met by a relevant proportion of the centers ( ≥ 80 %). Our data should help in identifying target areas for quality improvement programs in SBCE.

Supplementary material



Publication History

Received: 16 May 2020

Accepted: 19 October 2020

Article published online:
25 January 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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